- NO hand sanitizer - hands should be washed with soap and water
- Gloves must be powder-free nitrile variety
- Cloth gowns and bedding instead of paper covers. I have an emergency gown and my emergency contacts can provide clean linens.
- NO powdered rubber instruments - metal or glass only
- Any tools disinfected with alcohol should be rinsed prior to use
- NO dissolvable sutures - only use non-dissolvable nylon or polypropylene sutures that have been rinsed to dispose of corn starch.
- Saline IV only! No dextrose!
- For ANY medication given, check the inactive ingredients against the list below!!
Ingredients to Avoid:
- wheat, barley, rye (anything with gluten)
- corn (anything with the word corn, like corn starch, corn syrup, etc)
- citric acid
- non-specified starches
- modified starch
- natural flavors
**See the corn allergen list for more ingredients/derivatives to avoid.**
For local anesthetics, use only carbocaine or preservative-free lidocaine. No inactive ingredients other than water and/or sodium chloride!
Safe General Anesthetics:
- Versed (Hospira)
Avoid General Anesthetics:
- Keflex (Cephalexin) - red capsule. (potato starch)
- Rocephin (Ceftriaxone) - injection. (Check that it isn't treated in ethanol. It should be mixed with sterile water or saline only. Also check that the lidocaine is corn free.)
- Zithromax (only brand-name. The generics usually have corn starch.)
- Bactrim (and the Qualitest generic version as well)
Check the inactive ingredients and anticoagulants, as many are corn-derived. Please discuss information with patient or emergency contact before using blood products. If a transfusion is absolutely necessary, please take necessary precautions to prepare for possible allergic reactions.
- Albuterol-only nebulizers
- Ethanol propellants
- Anything with added ingredients included on the above-mentioned list
- Saline IV
- Diphenhydramine Hydrochloride injection (check inactive ingredients)
- Ranitidine Hydrochloride injection (check inactive ingredients)
- Rocephin injection (without dextrose!!)
- Lactated Ringers
- Dextrose in IV
Wound Treatment and Disinfectants
- Betadine solution (if it contains only water, povidone iodine, and sodium hydroxide)
- Purdue brand Betadine is safe
- Isopropyl alcohol (only if necessary)
- Non-dissolvable nylon or polypropylene sutures (rinse to remove corn starch)
- Carbocaine or preservative lidocaine for local anesthetics (the only inactive ingredients should be water and/or sodium chloride)
- Cotton gauze
- Kerlix or Coban Tape
- Citric Acid
- Pareth alcohol
- Dissolvable sutures
- Local anesthetics with inactive ingredients other than water/sodium chloride
- Most adhesive bandages